Request Family Day Care

Expression of Interest for Family Day Care

Thank you for completing this expression of interest form. Please be aware that completion of this form does not guarantee a position with a Kentish educator. We will do our best to accommodate your childcare needs.

To stay active on our wait list you are required to make contact every 4-6 weeks to update and inform that you are still looking for Family Day Care, this can be by phone 8932 2475 or email to admin@kentish.org.au . Failure to do so may result in your name being removed from the Kentish waitlist.

About You and Your Child/Children

Parent / Guardian Name*

Your Phone Number*

Your Email Address*

Child's Name 1:*

Date of Birth*

Child's Name 2:

Child 2 Date of Birth

Child's Name 3:

Child 3 Date of Birth

Any care requirements (e.g. special needs, diabetic, no pets or no pools etc.)

Your Preferred Care

Location of Care*

Start Date*

Monday*

Yes

No

Monday Start Time of Care*

:HH

MM

Monday Finish Time of Care*

:HH

MM

Tuesday*

Yes

No

Tuesday Start Time of Care*

:HH

MM

Tuesday Finish Time of Care*

:HH

MM

Wednesday*

Yes

No

Wednesday Start Time of Care*

:HH

MM

Wednesday Finish Time of Care*

:HH

MM

Thursday*

Yes

No

Thursday Start Time of Care*

:HH

MM

Thursday Finish Time of Care*

:HH

MM

Friday*

Yes

No

Friday Start Time of Care*

:HH

MM

Friday Finish Time of Care*

:HH

MM

Saturday*

Yes

No

Saturday Start Time of Care*

:HH

MM

Saturday Finish Time of Care*

:HH

MM

Sunday*

Yes

No

Sunday Start Time of Care*

:HH

MM

Sunday Finish Time of Care*

:HH

MM

School drop off required*

Yes

No

School pick up required*

Yes

No

School

School holiday care required*

Yes

No

Any Additional Comments

Terms of Application

I understand that completion of this form does not guarantee a position with a Kentish educator. I understand that I am required to contact Kentish every 4-6 weeks to let them know I am still looking for Family Day Care or I may be removed from the Kentish waitlist.